Introduction: Children are not small adults Flashcards
UN definition of child
“every human being below the age of eighteen years unless, under the law applicable to the child, majority is attained earlier.”
Physical differences in children
Smaller but disproportionate
what is the 50th %ile?
Average
On growth chart what does the distance between each gentile line represent?
2/3rds of a standard deviation
What factor is important when looking at BMI?
Age
Children have different physiological things:
Surface area:volume
% water content
Metabolic reserves
so get What? more easily
They (more)easily get:
Cold
Dehydrated
Hypoglycaemic
What is pulse and respect rate like in kids?
Faster pulse, respiratory rate
BP in kids?
Lower blood pressure
How do sick kids retain normal blood pressure?
Increase heart rate until point and then BP drops
Mum gives whole library of WHAT? that survive fro around 4 months
Immunoglobulins
What is the ultimate test of a Childs immune system?
To clear CHICKEN POX need a good cellular and humeral immune system
What factor is important when thinking about a Childs development?
THEIR AGE!!
What is latency stage?
6-11 yrs wonderful childhood
who delivers the most child health care?
GP
apart from GPs who delivers child health care?
Emergency physicians Neonatologists Community paediatricians Orthopaedic surgeons Medical Paediatricians Paediatric surgeons
Other than GPs and hospitals who else delivers child health care?
FAMILY
What is the age range distribution? (of cases in paeds)
over 50% acute presentations <2 years
decreases with age after until 10+
What are the common acute medical problems in RACH today?
Acute LRTI Asthma Bronchoilitis croup febrile convulsion fever gastroenteritis URTI vomitting wheeze other
How long are children admitted to RACH for?
Vast majority (60%) are admitted for very short period of time
What did we do to acute admissions?
60% nil
What is there no such thing as in paeds?
routine bloods
